Mcmullen, Timothy R

Mcmullen, Timothy R is an sole proprietor health care provider with primary practice located at 6488 E Main St Suite C, Reynoldsburg OH 43068-7310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mcmullen, Timothy R can be contacted via phone (614) 552-2300.

Contact Information

Primary practice address
6488 E Main St Suite C Reynoldsburg OH 43068-7310
Phone: (614) 552-2300
Fax: (614) 552-2305
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35-05-6952 Ohio

Profile Details

NPI number 1447236013
LBN Legal business name Mcmullen, Timothy R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2005
Last updated Mar 16th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447236013 NPPES
Ohio MEDICAID 0757471

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